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Permit eirry OF TIGARD BUILDING PERMIT PERMIT #: BUP2002 -00222 A DEVELOPMENT SERVICES DATE ISSUED: 6/20/02 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S101BC -01000 SITE ADDRESS: 08485 SW HUNZIKER ST SUBDIVISION: KNOLL ACRES ZONING: R -4.5 BLOCK: LOT: 005 JURISDICTION: TIG REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: ALT FIRST: sf N: S: E: W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? TYPE OF CONST: 5N : sf N: S: E: W: OCCUPANCY GRP: E3 TOTAL AREA: 0.00 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 4,000.00 Remarks: Remodel existing unisex into a restroom for girls, and construct a new boys restroom. Owner: Contractor: CLICKENER, ROBERT R + PATRICIA OWNER 13855 SW PACIFIC HWY TIGARD, OR 97223 Phone: Phone: Reg #: FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Mechanical Permit Require PLCK CTR 6/7/02 $53.11 27200200000 Plumbing Permit Required FIRE CTR 6/7/02 $32.68 27200200000 Framing Insp Gyp Board Insp PRMT CTR 6/20/02 $81.70 27200200000 Final Inspection 5PCT CTR 6/20/02 $6.54 27200200000 Total $174.03 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -1987. You may obtain a copy of these rules or direct questions to OUNC by calling (503) 246 -6699 or 1- 800 - 332 -2344. 1 Pe rrn ittee • 1 Signature: x , ---) , L 1,4 C/ Is ued By: K : ,Q.4 �) ' -- ` CalI'639= 5 by 7 p.m. for an inspection the next business day j' ca ¢, on °('' s e-d to Iq oz. `4 : ;.,............ . .. Building Permit Application liti., t tI 1 Lt ! l 1 t )\ I ) !1 Tigard g Date received: _ _0 � , , . t, til 1 ®f �i � I " ?. >i � (� 1 fl � ` �`'� D Aro J AA no.: ect /a t City of Tigard Address: 13125 SW Hall Bl d Ttgardgp 97223 Expire date: P ire - f Phone: (503) 639 - 4171 Date issued: 1=11 Receipt no.: Fax: (503) 598 -1960 Case file no.: Payment type: JUN - 7 2002 Land use approval: _ 1 &2 family: Simple Complex: ./11 Y kJ? I ttoK1:1 CI r • 4 1 I I O1' 11 It\�l1I a- 1 & 2 family dwelling or accessory ommerciallindustrial ❑ Multi- family ❑ New construction ❑ Demolition ❑ Addition/alteration/replacement Tenant improvement 0 Fire sprinkler /alarm CI Other: - ' „It )li s i I I l\ j Of(N'O I lO \,; .rr t-. 1. Job address: E Z1 es s ii222ZIMMIIIIIIMME11111111111111111 Bldg. no.: Suite no.: Lot: Block: Subdivision: Tax map /tax lot/account no.: 46 - r - /' - Project name: 49/24E4- 90 - 4 90.re y� lz Description and lo • on of work on premises /special conditions: X455' Sip N2,.eE/ ., 0+1 Ntt12 ' 1 Oh 1P1'( 1 \I l \1C)1 k l t.'.I ( III t hi I` 1 ; iaraSi�/ ` IedP'"� AMI T I 4 ! 1 I loot 1,i Iltl ,'C. 1111 13 I Il 's I ,II II iii. :1 Mailing address: ' } /3 1 & 2 family-dwelling: `ijZEMW State: OA. ZIP:777a3 Se Valuation of work $ Phone: $Z/- -, 34- ax: 7 - /rs E -mail: e / ew ••No. of bedrooms/baths Owner's representative: , Total number of floors Phone: Fax: MEM1111.11111111. New dwelling area (sq. ft.) - k l' i l t , l' \\ I ` ' `. ,' . rGarage /carport area (sq. ft.) -Name: Covered porch area (sq. ft.) Mailing address: Deck area (sq. ft.) ' City: 'ZIP: Other structure area (sq. ft.) Phone Fax Commercial/industrial/multi- family: ( O v 1 I k ( ( i; , !; O Valuation of work $ DD 614 t` ti Existing bldg. area (sq. ft.) �' ©�,S Business name: , New bldg. area (sq. ft.) --^ Address: . City: State: ZIP; Number of stories - - Phone: Fax: Bo rmi 'Type of construction f`iP6l.49E CCB no.: Occupancy group(s : Existing: -It/ ,4 9441 _'_ , : ® New: - 2_ --- City /metro Itc no : Notice: All contractors and subcontractors are required to be ' 11Z! 111 1 1 t I`•1)1 '.I.t ■\ I I. licensed with the Oregon Construction Contractors Board under nf r provisions of ORS 701 and may be required to be licensed in the Address: jurisdiction where work is being performed, If the applicant is City: State: exempt from licensing, the following reason applies: Contact person: Plan no.: — Phone: Fax: j t 'I s(;1:> \I 1 , 1 Z . " r .. ... ... ... ,, :... .. - := , <- ...; ...y � it`-',.I.' , ) Name: Contact person: Fees due upon application S Address: Date received: City: State: ZIP: Amount received $ Phone: Fax: priall Please refer to fee schedule. I hereby certify I have read and examined this application and the Not all jurisdictions accept credit cards, please call jurisdiction for more information. attached checklist. All provisions of laws and ordinances governing th's ❑ visa Cl Masttcrcard work will be complied w' , w ether spe 'fled herein or not Credit card number; _._L�__ Expires Authorized sign Date: �� Name of cardholder as shown on credit card ■ Print name: ,/r eir P- �/ Cardholder signature $ Amount Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 440-4613 (6f00/COM) ? f O 3 7 9 — ( / / PLO 2Etl A63 .11 FMS z oo CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 MST INSPECTION DIVISION Business Line: (503) 639 -4171 BUP O' CU ��J_ - Received _ Date Requested 7 /`O AM PM BUP - U"U ..// / 27 Location < 8 r `I 3 S 7-- Q1- A Suite MEC Contact Person Ph ( ) g d q d r' PLM Contr r Ph (. ) SWR BUILDING = Tenant/Owner ELC ELC Foundation Access: • Ftg Drain ELR Crawl Drain SIT Slab Inspection Notes: • Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling ' ( Roof �Ot1h7er: I (>_>----" • • PART FAIL •. BING ;, ' Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -In UG/Slab Low Voltage Fire Alarm Final LI Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE . - Please call for reinspection RE: I=1 Unable to inspect — no access Fire Supply Line ADA Date L 1 1 0 Inspector _C Ext Approach/Sidewalk Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL